Individual
BRENDA SUE WARTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1921 TREMONT AVE SE, MASSILLON, OH 44646-7035
(330) 418-5900
Mailing address
1921 TREMONT AVE SE, MASSILLON, OH 44646-7035
(330) 418-5900
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.126240-M-IV
OH
Other
Enumeration date
05/19/2011
Last updated
05/19/2011
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